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[Multiple bilateral pulmonary nodes following breast cancer]
S Diederich1, S Eidt, R Lüthen
1Institut für Diagnostische und Interventionelle Radiologie / Nuklearmedizin, Marien Hospital Düsseldorf. s.diederich@marien-hospital.de
Deutsche Medizinische Wochenschrift (1946)
|April 30, 2009
Summary
A patient with a history of breast cancer presented with new pulmonary nodules. Diagnosis revealed cryptogenic organizing pneumonia (COP), not metastases, highlighting the need for thorough investigation of lung nodules.
Area of Science:
- Pulmonology
- Oncology
- Radiology
Background:
- A 69-year-old woman with a history of breast cancer developed multiple new pulmonary nodules.
- Initial investigations included chest radiography, laboratory tests, and pulmonary function tests.
Observation:
- Chest radiography revealed multiple new pulmonary nodules.
- Computed tomography (CT) showed atypical morphology, raising suspicion for conditions other than metastases.
- CT-guided percutaneous biopsy was performed for definitive diagnosis.
Findings:
- Laboratory tests indicated mild inflammation.
- Pulmonary function tests suggested small airways disease.
- Histopathological analysis confirmed cryptogenic organizing pneumonia (COP).
Implications:
- This case underscores that multiple bilateral pulmonary nodules in cancer survivors require a broad differential diagnosis.
- Invasive diagnostic procedures may be necessary to differentiate between malignancy and other pulmonary conditions.
- Early and accurate diagnosis is crucial for appropriate treatment and patient management.
